Provider Demographics
NPI:1386335404
Name:LAWAL, OLUTOYIN MORENIKE (MD)
Entity type:Individual
Prefix:DR
First Name:OLUTOYIN
Middle Name:MORENIKE
Last Name:LAWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INTERNAL MEDICINE, TOWER HEALTH-PHOENIXVILLE HOSPITAL
Mailing Address - Street 2:824 MAIN ST. SUITE 206
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460
Mailing Address - Country:US
Mailing Address - Phone:610-983-1010
Mailing Address - Fax:
Practice Address - Street 1:PHOENIXVILLE HOSPITAL, TOWER HEALTH
Practice Address - Street 2:824 MAIN ST. SUITE 206,
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460
Practice Address - Country:US
Practice Address - Phone:610-983-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program